Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • News & Views
  • Published:

Microbiome

Pleiotropic prebiotic for liver disease

Lactulose is used to treat patients with hepatic encephalopathy but this prebiotic can also increase intestinal Bifidobacteria, thereby reducing systemic infection, growth of multidrug-resistant bacteria and mortality that often accompanies chronic liver disease.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Fig. 1: Lactulose alters gut microbiota composition and metabolites in patients with CLD.

References

  1. Karlsen, T. H. et al. Lancet 399, 61–116 (2022).

    Article  PubMed  Google Scholar 

  2. Trebicka, J., Macnaughtan, J., Schnabl, B., Shawcross, D. L. & Bajaj, J. S. J. Hepatol. 75 (Suppl. 1.), 67–81 (2021).

  3. Villanueva, C. et al. J. Hepatol. 75, 589–599 (2021).

    Article  PubMed  Google Scholar 

  4. Qin, N. et al. Nature 513, 59–64 (2014).

    Article  CAS  PubMed  Google Scholar 

  5. Loomba, R. et al. Cell Metab. 25, 1054–1062.e5 (2017).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Oh, T. G. et al. Cell Metab. 32, 878–888.e6 (2020).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Jin, M. et al. Liver Int. 39, 1437–1447 (2019).

    Article  CAS  PubMed  Google Scholar 

  8. Odenwald, M. A. et al. Nat. Microbiol. https://doi.org/10.1038/s41564-023-01493-w (2023).

    Article  PubMed  Google Scholar 

  9. Wang, J. Y. et al. J. Dig. Dis. 20, 547–556 (2019).

    Article  CAS  PubMed  Google Scholar 

  10. Bajaj, J. S. et al. Hepatol. Commun. 5, 258–271 (2020).

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Herbert Tilg.

Ethics declarations

Competing interests

The authors declare no competing interests.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Tilg, H., Zoller, H. Pleiotropic prebiotic for liver disease. Nat Microbiol 8, 1944–1945 (2023). https://doi.org/10.1038/s41564-023-01510-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41564-023-01510-y

Search

Quick links

Nature Briefing Microbiology

Sign up for the Nature Briefing: Microbiology newsletter — what matters in microbiology research, free to your inbox weekly.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing: Microbiology